Katriella Fernandez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Las Vegas, Nevada. Her current practice location is
6064 S Fort Apache Rd Ste 100, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 940-8007.
Katriella Fernandez is licensed to practice in Nevada (license number 823656) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073169454.
Physician's Profile
| Full Name | Katriella Fernandez |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 6064 S Fort Apache Rd Ste 100, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073169454
- Provider Enumeration Date: 08/12/2019
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668805821
- Enrollment ID: I20191203000999
Medical Identifiers
Medical identifiers for Katriella Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073169454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 823656 (Nevada) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 823656 (Nevada) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katriella Fernandez allows following entities to bill medicare on her behalf.
| Entity Name | Dr Poole Professional Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861986465
PECOS PAC ID: 9133479546
Enrollment ID: O20180905003895 |
|---|
| Entity Name | Primary Wellness Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902501448
PECOS PAC ID: 4486016045
Enrollment ID: O20230814002048 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katriella Fernandez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katriella Fernandez, FNP-C
6064 S Fort Apache Rd Ste 100,
Las Vegas, NV 89148-5350
Ph: (702) 940-8007 | Katriella Fernandez, FNP-C
6064 S Fort Apache Rd Ste 100,
Las Vegas, NV 89148-5350
Ph: (702) 940-8007 |
Reviews and Comments